Organization
FROM THE GROUND UP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY R DAVIS MSW (CHIEF EXECUTIVE OFFICER)
(904) 338-1259
Entity
Organization
Contact information
Practice address
7528 ARLINGTON EXPRESSWAY UNIT 313, JACKSONVILLE, FL 32203
(904) 338-1259
(904) 212-2509
Mailing address
P O BOX 2384, JACKSONVILLE, FL 32203
(904) 338-1259
(904) 212-2509
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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